经皮椎体成形术中穿刺针角度与骨水泥分布关系的临床研究.pdfVIP

The clinical research of the relationship between the puncture needle angle and the distribution of bone cement Specialty: Orthopaedics of TCM Author: Yang Zhanhua Tutor: Prof. Zhang Jianxin Abstract Objective: 1.The clinical research of the relationship between the puncture needle angle and the distribution of bone cement. 2. To provide guidance for puncture operation in PVP intraoperative of thoracolumbar vertebral. Methods: 1.115 thoracolumbar vertebral(T11~L2)with compression fracture patients were selected,who were treated with thoracolumbar precut-aneous vertebroplasty,in which 105 vertebrals of 97 patients were reaches the vertebral axis Before the mid 1 / 3 ( target )by puncture needle in intraoperative. And receive the intraoperative measurement data ( including the distance between the puncture point and the body midline and the length of the puncture needle in the human body) and the CT scans of each vertebral body in postoperative. 2. With the help of computer software, measure and calculate the proportion of bone cement in vertebral in postoperative, according to the length measured in intraoperative, converst to angles between the Puncture needle and body sagittal plane. 3. Analysis whether there exist relevance correlation between puncture needle angle and bone cement,by applicating statistical analysis software. Result: 1. The puncture angles of puncture needle are from 20 degrees to 30 degrees,in which 18 cases of vertebral body in 20 degrees to 22 degrees, 19 cases of vertebral body in 22.1 degrees to 24 degrees, 27 cases of vertebral body in 24.1 degrees to 26 degrees, 25 cases of vertebral body in 26.1 degrees to 28 degrees, 16 cases of vertebral body in 28.1 degrees to 30